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MARC M. KEULER MD
NPI 1942247028
Internal Medicine in Tobyhanna, PA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
79.45/100
CMS Quality Rating
100 COMMUNITY DR, PMC PHYSICIAN ASSOC .- INTERNAL MEDICINE. SUITE 203, TOBYHANNA, PA 18466(570) 839-8754(570) 839-0893 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marc M. Keuler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC M. KEULER MD (NPI 1942247028) is an individual internal medicine provider in Tobyhanna, Pennsylvania, licensed in Pennsylvania (MD030118E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Medical College Of Pennsylvania (1982).

NPPES Registry Identity

NPI1942247028
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARC M. KEULERCredential: MD
Location Address100 COMMUNITY DR, PMC PHYSICIAN ASSOC .- INTERNAL MEDICINE. SUITE 203Tobyhanna, PA 18466-8985
Mailing Address206 E Brown St, Pocono Healthcare ManagementEast Stroudsburg, PA 18301-3006 · (570) 476-3507 · Fax (570) 476-3754
Phone(570) 839-8754
Fax(570) 839-0893
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1982
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 5, 2009
✔ NPI 1942247028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD030118E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 COMMUNITY DR, Tobyhanna, PA 18466
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Other Identifiers 3

Medicaid0016390580001PA
Medicare UPINB40280PA
Medicare PIN159861PZPPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc M. Keuler Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315940657
PECOS Enrollment IDI20060807000272
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
775 services362 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
267 services267 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
115 services108 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
109 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services72 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
59 services59 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.12
Promoting Interoperability86
Improvement Activities40
Cost60.65

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers93 claims214 services$6.00 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers14 claims14 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers37 claims54 services$1.04 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers12 claims12 services$54.34 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$18.50 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$99.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN BROWN DPT
Physical Therapist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
RENAL TREATMENT CENTERS NORTHEAST INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 COMMUNITY DR, STE 106
TOBYHANNA, PA 18466
Monroe County (570) 839-0900
PATRICIA C ORWIG LPT
Physical Therapist
100 COMMUNITY DR, 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
LEAH MICHELLE ARLEQUIN MD
Family Medicine
100 COMMUNITY DR
TOBYHANNA, PA 18466
Monroe County (570) 895-2300
MICHAEL TURSO MS,CCC SLP
Speech-Language Pathologist
100 COMMUNITY DR, SUITE 105
TOBYHANNA, PA 18466
Monroe County (570) 839-9975
RACHAEL SEESE CRNP
Nurse Practitioner (Family)
100 COMMUNITY DR, STE 102
TOBYHANNA, PA 18466
Monroe County (570) 839-8754
JAMES T KINCEL JR. PA-C
Physician Assistant
100 COMMUNITY DR, SUITE 203
TOBYHANNA, PA 18466
Monroe County (570) 839-8754
ANN MARIE ELIZABETH DEANTONIO PTA
Physical Medicine & Rehabilitation
100 COMMUNITY DR
TOBYHANNA, PA 18466
Monroe County (570) 839-9975

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Keuler's NPI number?

The NPI number for Marc Keuler is 1942247028. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Marc Keuler located?

Marc Keuler practices at 100 Community Dr Pmc Physician Assoc .- Internal Medicine. Suite 203, Tobyhanna, PA 18466. The listed phone number is (570) 839-8754.

What is Marc Keuler's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marc Keuler enrolled in Medicare?

Yes. Marc Keuler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marc Keuler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marc Keuler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marc Keuler affiliated with any hospitals?

According to CMS data, Marc Keuler is affiliated with Geisinger-Community Medical Center, Lehigh Valley Hospital - Pocono and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Marc Keuler was last updated on March 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.